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A Study To Investigate The Pharmacokinetics, Pharmacodynamics, Safety And Tolerability Of Single Dose Vupanorsen In Healthy Chinese Adults

A PHASE 1, RANDOMIZED, OPEN-LABEL, SINGLE DOSE STUDY TO INVESTIGATE THE PHARMACOKINETICS, PHARMACODYNAMICS, SAFETY AND TOLERABILITY OF VUPANORSEN ADMINISTERED SUBCUTANEOUSLY TO HEALTHY CHINESE ADULTS

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04916795
Enrollment
18
Registered
2021-06-08
Start date
2021-06-17
Completion date
2021-10-19
Last updated
2024-03-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Brief summary

This is a Phase 1, randomized, parallel-cohort, open-label study to characterize the pharmacokinetics, pharmacodynamics, safety and tolerability of vupanorsen following 80 mg and 160 mg single subcutaneous dose in healthy Chinese adults with elevated fasting triglyceride.

Interventions

80 mg subcutaneous injection

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

1. Male and female Chinese participants must be 18 to 65 years of age, inclusive, at the time of signing the ICD. * Refer to Appendix 4 for reproductive criteria for male (Section 10.4.1) and female (Section 10.4.2) participants. * Chinese participant is defined as individuals currently residing in mainland China who were born in China and have both parents of Chinese descent. 2. Male and female Chinese participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests (except for TG levels), and 12-lead ECG monitoring. 3. Fasting TG ≥ 90 mg/dL at Screening (up to 1 repeat allowed for TG and the second TG value will be used for the eligibility). 4. Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures. 5. BMI of 17.5 to 35.0 kg/m2; and a total body weight \>50 kg (110 lb). 6. Capable of giving signed informed consent as described in Appendix 1, which includes compliance with the requirements and restrictions listed in the ICD and in this protocol.

Exclusion criteria

1. Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing). 2. History of human immunodeficiency virus (HIV) infection, syphilis, hepatitis B, or hepatitis C; positive testing for HIV, syphilis, HBsAg, or HCVAb. Prior Hepatitis B vaccination is allowed. 3. Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study. 4. Use of prescription or nonprescription drugs and dietary and herbal supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of study intervention. 5. Previous administration with an investigational drug within 4 months or 5 half-lives preceding the first dose of study intervention used in this study (whichever is longer). 6. A positive urine drug test. 7. Screening supine BP ≥140 mm Hg (systolic) or ≥90 mm Hg (diastolic), following at least 5 minutes of supine rest. If BP is ≥140 mm Hg (systolic) or ≥90 mm Hg (diastolic), the BP should be repeated 2 more times and the average of the 3 BP values should be used to determine the participant's eligibility. 8. Baseline 12-lead ECG that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results (eg, baseline QTc interval \>450 msec, complete LBBB, signs of an acute or indeterminate-age myocardial infarction, ST-T interval changes suggestive of myocardial ischemia, second- or third-degree AV block, or serious bradyarrhythmias or tachyarrhythmias). If the baseline uncorrected QT interval is \>450 msec, this interval should be rate-corrected using the Fridericia method and the resulting QTcF should be used for decision making and reporting. If QTc exceeds 450 msec, or QRS exceeds 120 msec, the ECG should be repeated 2 more times and the average of the 3 QTc or QRS values should be used to determine the participant's eligibility. Computer-interpreted ECGs should be overread by a physician experienced in reading ECGs before excluding participants. 9. Participants with ANY of the following abnormalities in clinical laboratory tests at screening, as assessed by the study-specific laboratory and confirmed by a single repeat test, if deemed necessary: * AST or ALT level ≥1.25 × ULN; * Total bilirubin level ≥1.5 × ULN; participants with a history of Gilbert's syndrome may have direct bilirubin measured and would be eligible for this study provided the direct bilirubin level is≤ ULN. 10. History of alcohol abuse or binge drinking and/or any other illicit drug use or dependence within 6 months of Screening. Binge drinking is defined as a pattern of 5 (male) and 4 (female) or more alcoholic drinks in about 2 hours. As a general rule, alcohol intake should not exceed 14 units per week (1 unit = 8 ounces (240 mL) beer, 1 ounce (30 mL) of 40% spirit or 3 ounces (90 mL) of wine). 11. Blood donation (excluding plasma donations) of approximately 400 mL or more within 60 days prior to dosing. 12. History of sensitivity to heparin or heparin-induced thrombocytopenia. 13. History of substance abuse within 12 months of the screening visit. 14. Pregnant females; breastfeeding females. 15. Unwilling or unable to comply with the criteria in the Lifestyle Considerations section of this protocol. 16. Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.

Design outcomes

Primary

MeasureTime frameDescription
Area Under the Curve (AUC) From Time 0 to 24 Hours Post-dose (AUC24h) for Vupanorsen0 hour (predose) and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post dose on day 1AUC24h is the area under the concentration-time profile from time 0 to 24 hour post-dose
AUC From Time 0 to 48 Hours Post-dose (AUC48h) for Vupanorsen0 hour (predose) and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, and 48 hours post doseAUC48h is the area under the plasma concentration-time profile from time zero to the quantifiable concentration 48 hours post-dose
AUC From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) for Vupanorsen0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90AUClast is the area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (Clast)
Maximum Observed Concentration (Cmax)0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90Maximum plasma concentration observed from data
AUC From Time 0 Extrapolated to Infinite Time (AUCinf) for Vupanorsen0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90AUCinf is area under the plasma concentration-time profile from time zero extrapolated to infinite time
Time for Cmax (Tmax) for Vupanorsen0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90Time for Cmax (Tmax) for vupanorsen
Terminal Elimination Half Life (t½) for Vupanorsen0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90terminal elimination half life (t½) for vupanorsen
Apparent Clearance (CL/F) for Vupanorsen0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90Apparent clearance for vupanorsen
Apparent Volume of Distribution (Vz/F) for Vupanorsen0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90Apparent volume of distribution for vupanorsen

Secondary

MeasureTime frameDescription
Percent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90Percent changes from baseline in ANGPTL3 on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90
Percent Change From Baseline in Total CholesterolDay 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90Percentage changes from baseline in total cholesterol on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90
Percent Change From Baseline in Apolipoprotein A-1 (ApoA-I)Day 1, Day 15, Day 60, and Day 90Percentage changes from baseline in ApoA-I on Day 15, Day 60, and Day 90. This endpoint was terminated due to changes of development plan.
Percent Change From Baseline in Apolipoprotein B (ApoB) Total (Including ApoB-48, ApoB-100)Day 1, Day 15, Day 60, and Day 90Percentage changes from baseline in ApoB total (including ApoB-48, ApoB-100) on Day 15, Day 60, and Day 90. This endpoint was terminated due to changes of development plan.
Percent Change From Baseline in Apolipoprotein C-III (ApoC-III)Day 1, Day 15, Day 60, and Day 90Percentage changes from baseline in apolipoprotein C-III (ApoC-III) on Day 15, Day 60, and Day 90. This endpoint was terminated due to changes of development plan.
Percent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90Percentage changes from baseline in HDL-C on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90
Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90Percentage changes from baseline in non-HDL on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90
Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90Percentage changes from baseline in LDL-C on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90
Percent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90Percentage changes from baseline in VLDL-C on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90
Percent Change From Baseline in TriglycerideDay 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90Percentage changes from baseline in triglyceride on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Baseline through day 90Adverse events (AEs): any untoward medical occurrence in a clinical investigation participant administered a product or medical device, without regard to causality. Treatment-emergent AEs (TEAEs): AEs which occurred for the first time during the effective duration of treatment or AEs that increased in severity during treatment. AEs included SAEs and non-serious AEs. Treatment-related TEAEs were any untoward medical occurrence attributed to study treatment. Causality to study treatment was determined by the investigator.
Number of Participants With Laboratory Abnormalities (Without Regard to Baseline Abnormality)Baseline through day 90Protocol-required safety laboratory assessments included chemistry, hematology, and urinalysis (and microscopy, if needed). Each parameter was evaluated against commonly used and widely accepted criteria.
Number of Participants With Clinically Significant Vital Sign ValuesBaseline through day 90Vital sign data included blood pressure and pulse rate. Clinical significance was assessed by the investigator.
Number of Participants With Clinically Significant Abnormal Electrocardiogram (ECG) ValuesBaseline through day 90Clinical significance of ECG data was assessed by the investigator.

Countries

China

Participant flow

Participants by arm

ArmCount
Vupanorsen 80 mg
Participants were selected and categorized into the Vupanorsen 80 mg group and received a single 80 mg subcutaneous dose of vupanorsen on Day 1, followed by an on-site post-treatment evaluation on Days 8, 15, 30, 60 and 90.
9
Vupanorsen 160 mg
Participants were selected and categorized into the Vupanorsen 160 mg group and received a single 160 mg subcutaneous dose of vupanorsen on Day 1, followed by an on-site post-treatment evaluation on Days 8, 15, 30, 60 and 90.
9
Total18

Baseline characteristics

CharacteristicVupanorsen 160 mgTotalVupanorsen 80 mg
Age, Continuous36.22 Years
STANDARD_DEVIATION 8.45
33.83 Years
STANDARD_DEVIATION 7.97
31.44 Years
STANDARD_DEVIATION 7.13
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants18 Participants9 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
9 Participants18 Participants9 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants
Sex: Female, Male
Female
1 Participants3 Participants2 Participants
Sex: Female, Male
Male
8 Participants15 Participants7 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 90 / 9
other
Total, other adverse events
3 / 95 / 9
serious
Total, serious adverse events
0 / 90 / 9

Outcome results

Primary

Apparent Clearance (CL/F) for Vupanorsen

Apparent clearance for vupanorsen

Time frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

Population: The analysis population refers to all participants enrolled and treated who had at least 1 of the vupanorsen PK parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vupanorsen 80 mgApparent Clearance (CL/F) for Vupanorsen19.60 liter per hour (L/hr)Geometric Coefficient of Variation 36
Vupanorsen 160 mgApparent Clearance (CL/F) for Vupanorsen13.43 liter per hour (L/hr)Geometric Coefficient of Variation 39
Primary

Apparent Volume of Distribution (Vz/F) for Vupanorsen

Apparent volume of distribution for vupanorsen

Time frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

Population: The analysis population refers to all participants enrolled and treated who had at least 1 of the vupanorsen PK parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vupanorsen 80 mgApparent Volume of Distribution (Vz/F) for Vupanorsen12500 liter (L)Geometric Coefficient of Variation 37
Vupanorsen 160 mgApparent Volume of Distribution (Vz/F) for Vupanorsen8681 liter (L)Geometric Coefficient of Variation 48
Primary

Area Under the Curve (AUC) From Time 0 to 24 Hours Post-dose (AUC24h) for Vupanorsen

AUC24h is the area under the concentration-time profile from time 0 to 24 hour post-dose

Time frame: 0 hour (predose) and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post dose on day 1

Population: The analysis population refers to all participants enrolled and treated who had at least 1 of the vupanorsen pharmacokinetic (PK) parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vupanorsen 80 mgArea Under the Curve (AUC) From Time 0 to 24 Hours Post-dose (AUC24h) for Vupanorsen3.649 microgram*hour per milliliter(mcg*hr/mL)Geometric Coefficient of Variation 35
Vupanorsen 160 mgArea Under the Curve (AUC) From Time 0 to 24 Hours Post-dose (AUC24h) for Vupanorsen10.82 microgram*hour per milliliter(mcg*hr/mL)Geometric Coefficient of Variation 42
Primary

AUC From Time 0 Extrapolated to Infinite Time (AUCinf) for Vupanorsen

AUCinf is area under the plasma concentration-time profile from time zero extrapolated to infinite time

Time frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

Population: The analysis population refers to all participants enrolled and treated who had at least 1 of the vupanorsen PK parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vupanorsen 80 mgAUC From Time 0 Extrapolated to Infinite Time (AUCinf) for Vupanorsen4.081 mcg*hr/mLGeometric Coefficient of Variation 36
Vupanorsen 160 mgAUC From Time 0 Extrapolated to Infinite Time (AUCinf) for Vupanorsen11.91 mcg*hr/mLGeometric Coefficient of Variation 39
Primary

AUC From Time 0 to 48 Hours Post-dose (AUC48h) for Vupanorsen

AUC48h is the area under the plasma concentration-time profile from time zero to the quantifiable concentration 48 hours post-dose

Time frame: 0 hour (predose) and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, and 48 hours post dose

Population: The analysis population refers to all participants enrolled and treated who had at least 1 of the vupanorsen PK parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vupanorsen 80 mgAUC From Time 0 to 48 Hours Post-dose (AUC48h) for Vupanorsen3.699 mcg*hr/mLGeometric Coefficient of Variation 34
Vupanorsen 160 mgAUC From Time 0 to 48 Hours Post-dose (AUC48h) for Vupanorsen10.91 mcg*hr/mLGeometric Coefficient of Variation 42
Primary

AUC From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) for Vupanorsen

AUClast is the area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (Clast)

Time frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

Population: The analysis population refers to all participants enrolled and treated who had at least 1 of the vupanorsen PK parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vupanorsen 80 mgAUC From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) for Vupanorsen3.950 mcg*hr/mLGeometric Coefficient of Variation 34
Vupanorsen 160 mgAUC From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) for Vupanorsen11.76 mcg*hr/mLGeometric Coefficient of Variation 39
Primary

Maximum Observed Concentration (Cmax)

Maximum plasma concentration observed from data

Time frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

Population: The analysis population refers to all participants enrolled and treated who had at least 1 of the vupanorsen PK parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vupanorsen 80 mgMaximum Observed Concentration (Cmax)0.5879 microgram per milliliter (μg/mL)Geometric Coefficient of Variation 62
Vupanorsen 160 mgMaximum Observed Concentration (Cmax)1.810 microgram per milliliter (μg/mL)Geometric Coefficient of Variation 63
Primary

Terminal Elimination Half Life (t½) for Vupanorsen

terminal elimination half life (t½) for vupanorsen

Time frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

Population: The analysis population refers to all participants enrolled and treated who had at least 1 of the vupanorsen PK parameters of primary interest.

ArmMeasureValue (MEAN)Dispersion
Vupanorsen 80 mgTerminal Elimination Half Life (t½) for Vupanorsen475.9 hour (hr)Standard Deviation 205.5
Vupanorsen 160 mgTerminal Elimination Half Life (t½) for Vupanorsen465.2 hour (hr)Standard Deviation 131.5
Primary

Time for Cmax (Tmax) for Vupanorsen

Time for Cmax (Tmax) for vupanorsen

Time frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

Population: The analysis population refers to all participants enrolled and treated who had at least 1 of the vupanorsen PK parameters of primary interest.

ArmMeasureValue (MEDIAN)
Vupanorsen 80 mgTime for Cmax (Tmax) for Vupanorsen2.00 hour (hr)
Vupanorsen 160 mgTime for Cmax (Tmax) for Vupanorsen2.00 hour (hr)
Secondary

Number of Participants With Clinically Significant Abnormal Electrocardiogram (ECG) Values

Clinical significance of ECG data was assessed by the investigator.

Time frame: Baseline through day 90

Population: All participants enrolled and who took at least 1 dose of study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Vupanorsen 80 mgNumber of Participants With Clinically Significant Abnormal Electrocardiogram (ECG) Values0 Participants
Vupanorsen 160 mgNumber of Participants With Clinically Significant Abnormal Electrocardiogram (ECG) Values0 Participants
Secondary

Number of Participants With Clinically Significant Vital Sign Values

Vital sign data included blood pressure and pulse rate. Clinical significance was assessed by the investigator.

Time frame: Baseline through day 90

Population: All participants enrolled and who took at least 1 dose of study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Vupanorsen 80 mgNumber of Participants With Clinically Significant Vital Sign Values1 Participants
Vupanorsen 160 mgNumber of Participants With Clinically Significant Vital Sign Values0 Participants
Secondary

Number of Participants With Laboratory Abnormalities (Without Regard to Baseline Abnormality)

Protocol-required safety laboratory assessments included chemistry, hematology, and urinalysis (and microscopy, if needed). Each parameter was evaluated against commonly used and widely accepted criteria.

Time frame: Baseline through day 90

Population: All participants enrolled and who took at least 1 dose of study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Vupanorsen 80 mgNumber of Participants With Laboratory Abnormalities (Without Regard to Baseline Abnormality)5 Participants
Vupanorsen 160 mgNumber of Participants With Laboratory Abnormalities (Without Regard to Baseline Abnormality)5 Participants
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs)

Adverse events (AEs): any untoward medical occurrence in a clinical investigation participant administered a product or medical device, without regard to causality. Treatment-emergent AEs (TEAEs): AEs which occurred for the first time during the effective duration of treatment or AEs that increased in severity during treatment. AEs included SAEs and non-serious AEs. Treatment-related TEAEs were any untoward medical occurrence attributed to study treatment. Causality to study treatment was determined by the investigator.

Time frame: Baseline through day 90

Population: All participants enrolled and who took at least 1 dose of study intervention.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Vupanorsen 80 mgNumber of Participants With Treatment-emergent Adverse Events (TEAEs)All-causality3 Participants
Vupanorsen 80 mgNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Treatment-related2 Participants
Vupanorsen 160 mgNumber of Participants With Treatment-emergent Adverse Events (TEAEs)All-causality5 Participants
Vupanorsen 160 mgNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Treatment-related1 Participants
Secondary

Percent Change From Baseline in Apolipoprotein A-1 (ApoA-I)

Percentage changes from baseline in ApoA-I on Day 15, Day 60, and Day 90. This endpoint was terminated due to changes of development plan.

Time frame: Day 1, Day 15, Day 60, and Day 90

Population: Study endpoint of percent changes from baseline in apolipoprotein A-1 (ApoA-I),apolipoprotein B (ApoB) total (including ApoB-48, ApoB-100), and apolipoprotein C-III (ApoC-III) on Day 15, Day 60, and Day 90, were terminated due to changes of development plan. No data were collected for these terminated endpoints.

Secondary

Percent Change From Baseline in Apolipoprotein B (ApoB) Total (Including ApoB-48, ApoB-100)

Percentage changes from baseline in ApoB total (including ApoB-48, ApoB-100) on Day 15, Day 60, and Day 90. This endpoint was terminated due to changes of development plan.

Time frame: Day 1, Day 15, Day 60, and Day 90

Population: Study endpoint of percent changes from baseline in apolipoprotein A-1 (ApoA-I),apolipoprotein B (ApoB) total (including ApoB-48, ApoB-100), and apolipoprotein C-III (ApoC-III) on Day 15, Day 60, and Day 90, were terminated due to changes of development plan. No data were collected for these terminated endpoints.

Secondary

Percent Change From Baseline in Apolipoprotein C-III (ApoC-III)

Percentage changes from baseline in apolipoprotein C-III (ApoC-III) on Day 15, Day 60, and Day 90. This endpoint was terminated due to changes of development plan.

Time frame: Day 1, Day 15, Day 60, and Day 90

Population: Study endpoint of percent changes from baseline in apolipoprotein A-1 (ApoA-I),apolipoprotein B (ApoB) total (including ApoB-48, ApoB-100), and apolipoprotein C-III (ApoC-III) on Day 15, Day 60, and Day 90, were terminated due to changes of development plan. No data were collected for these terminated endpoints.

Secondary

Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)

Percentage changes from baseline in LDL-C on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Time frame: Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Population: All participants enrolled and treated who had at least 1 of the PD parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Vupanorsen 80 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY60-12.77 percent change (%)Standard Deviation 23.668
Vupanorsen 80 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY90-7.42 percent change (%)Standard Deviation 19.649
Vupanorsen 80 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY22.94 percent change (%)Standard Deviation 9.247
Vupanorsen 80 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY31.91 percent change (%)Standard Deviation 12.944
Vupanorsen 80 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY8-14.65 percent change (%)Standard Deviation 9.005
Vupanorsen 80 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY15-14.95 percent change (%)Standard Deviation 19.076
Vupanorsen 80 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY30-9.86 percent change (%)Standard Deviation 22.385
Vupanorsen 160 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY902.97 percent change (%)Standard Deviation 10.818
Vupanorsen 160 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY600.19 percent change (%)Standard Deviation 15.38
Vupanorsen 160 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY8-12.10 percent change (%)Standard Deviation 15.647
Vupanorsen 160 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY30-6.03 percent change (%)Standard Deviation 16.71
Vupanorsen 160 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY2-0.63 percent change (%)Standard Deviation 7.817
Vupanorsen 160 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY15-15.93 percent change (%)Standard Deviation 16.486
Vupanorsen 160 mgPercent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)DAY32.80 percent change (%)Standard Deviation 11.548
Secondary

Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)

Percentage changes from baseline in non-HDL on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Time frame: Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Population: All participants enrolled and treated who had at least 1 of the PD parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Vupanorsen 80 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY8-22.58 percent change (%)Standard Deviation 8.362
Vupanorsen 80 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY30-15.33 percent change (%)Standard Deviation 16.925
Vupanorsen 80 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY3-0.12 percent change (%)Standard Deviation 12.865
Vupanorsen 80 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY60-11.58 percent change (%)Standard Deviation 22.194
Vupanorsen 80 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY15-23.18 percent change (%)Standard Deviation 15.173
Vupanorsen 80 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY90-8.32 percent change (%)Standard Deviation 16.806
Vupanorsen 80 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY2-1.39 percent change (%)Standard Deviation 7.609
Vupanorsen 160 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY90-6.35 percent change (%)Standard Deviation 7.602
Vupanorsen 160 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY2-2.40 percent change (%)Standard Deviation 6.649
Vupanorsen 160 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY3-0.89 percent change (%)Standard Deviation 9.12
Vupanorsen 160 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY8-23.41 percent change (%)Standard Deviation 8.368
Vupanorsen 160 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY15-25.37 percent change (%)Standard Deviation 11.202
Vupanorsen 160 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY30-15.58 percent change (%)Standard Deviation 10.089
Vupanorsen 160 mgPercent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)DAY60-3.89 percent change (%)Standard Deviation 9.669
Secondary

Percent Change From Baseline in Total Cholesterol

Percentage changes from baseline in total cholesterol on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Time frame: Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Population: All participants enrolled and treated who had at least 1 of the PD parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Vupanorsen 80 mgPercent Change From Baseline in Total CholesterolDAY8-18.89 percent change (%)Standard Deviation 6.814
Vupanorsen 80 mgPercent Change From Baseline in Total CholesterolDAY30-10.46 percent change (%)Standard Deviation 14.303
Vupanorsen 80 mgPercent Change From Baseline in Total CholesterolDAY3-1.71 percent change (%)Standard Deviation 9.012
Vupanorsen 80 mgPercent Change From Baseline in Total CholesterolDAY60-8.26 percent change (%)Standard Deviation 16.712
Vupanorsen 80 mgPercent Change From Baseline in Total CholesterolDAY15-19.57 percent change (%)Standard Deviation 12.554
Vupanorsen 80 mgPercent Change From Baseline in Total CholesterolDAY90-5.10 percent change (%)Standard Deviation 14.122
Vupanorsen 80 mgPercent Change From Baseline in Total CholesterolDAY2-1.50 percent change (%)Standard Deviation 5.839
Vupanorsen 160 mgPercent Change From Baseline in Total CholesterolDAY90-3.06 percent change (%)Standard Deviation 7.317
Vupanorsen 160 mgPercent Change From Baseline in Total CholesterolDAY2-2.04 percent change (%)Standard Deviation 6.238
Vupanorsen 160 mgPercent Change From Baseline in Total CholesterolDAY3-0.71 percent change (%)Standard Deviation 7.665
Vupanorsen 160 mgPercent Change From Baseline in Total CholesterolDAY8-20.39 percent change (%)Standard Deviation 8.526
Vupanorsen 160 mgPercent Change From Baseline in Total CholesterolDAY15-21.85 percent change (%)Standard Deviation 11.371
Vupanorsen 160 mgPercent Change From Baseline in Total CholesterolDAY30-11.11 percent change (%)Standard Deviation 7.976
Vupanorsen 160 mgPercent Change From Baseline in Total CholesterolDAY60-1.76 percent change (%)Standard Deviation 10.038
Secondary

Percent Change From Baseline in Triglyceride

Percentage changes from baseline in triglyceride on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Time frame: Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Population: All participants enrolled and treated who had at least 1 of the PD parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Vupanorsen 80 mgPercent Change From Baseline in TriglycerideDAY8-32.61 percent change (%)Standard Deviation 16.422
Vupanorsen 80 mgPercent Change From Baseline in TriglycerideDAY30-28.54 percent change (%)Standard Deviation 20.289
Vupanorsen 80 mgPercent Change From Baseline in TriglycerideDAY3-10.03 percent change (%)Standard Deviation 16.856
Vupanorsen 80 mgPercent Change From Baseline in TriglycerideDAY60-19.55 percent change (%)Standard Deviation 29.981
Vupanorsen 80 mgPercent Change From Baseline in TriglycerideDAY15-41.91 percent change (%)Standard Deviation 19.992
Vupanorsen 80 mgPercent Change From Baseline in TriglycerideDAY907.26 percent change (%)Standard Deviation 59.83
Vupanorsen 80 mgPercent Change From Baseline in TriglycerideDAY2-9.72 percent change (%)Standard Deviation 15.235
Vupanorsen 160 mgPercent Change From Baseline in TriglycerideDAY90-21.26 percent change (%)Standard Deviation 28.335
Vupanorsen 160 mgPercent Change From Baseline in TriglycerideDAY2-5.86 percent change (%)Standard Deviation 12.887
Vupanorsen 160 mgPercent Change From Baseline in TriglycerideDAY3-7.24 percent change (%)Standard Deviation 26.804
Vupanorsen 160 mgPercent Change From Baseline in TriglycerideDAY8-52.47 percent change (%)Standard Deviation 18.15
Vupanorsen 160 mgPercent Change From Baseline in TriglycerideDAY15-48.19 percent change (%)Standard Deviation 16.491
Vupanorsen 160 mgPercent Change From Baseline in TriglycerideDAY30-44.14 percent change (%)Standard Deviation 19.466
Vupanorsen 160 mgPercent Change From Baseline in TriglycerideDAY60-30.60 percent change (%)Standard Deviation 23.585
Secondary

Percent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)

Percentage changes from baseline in VLDL-C on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Time frame: Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Population: All participants enrolled and treated who had at least 1 of the PD parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Vupanorsen 80 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY8-65.66 percent change (%)Standard Deviation 19.581
Vupanorsen 80 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY30-27.64 percent change (%)Standard Deviation 40.099
Vupanorsen 80 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY35.68 percent change (%)Standard Deviation 35.419
Vupanorsen 80 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY6011.09 percent change (%)Standard Deviation 50.942
Vupanorsen 80 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY15-62.44 percent change (%)Standard Deviation 27.207
Vupanorsen 80 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY90-22.63 percent change (%)Standard Deviation 58.405
Vupanorsen 80 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY2-15.93 percent change (%)Standard Deviation 18.32
Vupanorsen 160 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY90-51.39 percent change (%)Standard Deviation 37.174
Vupanorsen 160 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY2-1.16 percent change (%)Standard Deviation 28.947
Vupanorsen 160 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY3-4.79 percent change (%)Standard Deviation 45.277
Vupanorsen 160 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY8-72.26 percent change (%)Standard Deviation 21.036
Vupanorsen 160 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY15-64.24 percent change (%)Standard Deviation 31.482
Vupanorsen 160 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY30-53.51 percent change (%)Standard Deviation 27.018
Vupanorsen 160 mgPercent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)DAY608.28 percent change (%)Standard Deviation 77.143
Secondary

Percent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)

Percent changes from baseline in ANGPTL3 on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Time frame: Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Population: All participants enrolled and treated who had at least 1 of the pharmacodynamic (PD) parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Vupanorsen 80 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY8-59.65 percent change (%)Standard Deviation 18.727
Vupanorsen 80 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY30-48.66 percent change (%)Standard Deviation 21.921
Vupanorsen 80 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY3-32.65 percent change (%)Standard Deviation 22.375
Vupanorsen 80 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY60-38.54 percent change (%)Standard Deviation 23.44
Vupanorsen 80 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY15-54.07 percent change (%)Standard Deviation 21.893
Vupanorsen 80 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY90-12.69 percent change (%)Standard Deviation 20.238
Vupanorsen 80 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY2-13.88 percent change (%)Standard Deviation 18.644
Vupanorsen 160 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY90-29.72 percent change (%)Standard Deviation 15.587
Vupanorsen 160 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY2-22.14 percent change (%)Standard Deviation 15.103
Vupanorsen 160 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY3-43.56 percent change (%)Standard Deviation 15.151
Vupanorsen 160 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY8-69.11 percent change (%)Standard Deviation 13.462
Vupanorsen 160 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY15-69.48 percent change (%)Standard Deviation 11.659
Vupanorsen 160 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY30-62.81 percent change (%)Standard Deviation 18.873
Vupanorsen 160 mgPercent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)DAY60-53.33 percent change (%)Standard Deviation 11.83
Secondary

Percent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)

Percentage changes from baseline in HDL-C on Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Time frame: Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90

Population: All participants enrolled and treated who had at least 1 of the PD parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
Vupanorsen 80 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY8-3.97 percent change (%)Standard Deviation 13.335
Vupanorsen 80 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY308.96 percent change (%)Standard Deviation 18.824
Vupanorsen 80 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY3-3.81 percent change (%)Standard Deviation 2.908
Vupanorsen 80 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY608.19 percent change (%)Standard Deviation 13.457
Vupanorsen 80 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY15-3.33 percent change (%)Standard Deviation 20.205
Vupanorsen 80 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY906.74 percent change (%)Standard Deviation 14.464
Vupanorsen 80 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY2-0.55 percent change (%)Standard Deviation 3.636
Vupanorsen 160 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY905.92 percent change (%)Standard Deviation 12.033
Vupanorsen 160 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY2-0.79 percent change (%)Standard Deviation 8.504
Vupanorsen 160 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY3-0.14 percent change (%)Standard Deviation 9.771
Vupanorsen 160 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY8-9.16 percent change (%)Standard Deviation 16.834
Vupanorsen 160 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY15-10.08 percent change (%)Standard Deviation 16.485
Vupanorsen 160 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY303.70 percent change (%)Standard Deviation 15.475
Vupanorsen 160 mgPercent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)DAY605.18 percent change (%)Standard Deviation 15.265

Source: ClinicalTrials.gov · Data processed: Feb 7, 2026